59/100
#1,000 nationally
St Nicholas Hospital
3100 Superior Ave, Sheboygan, WI 53081 · (920) 459-8300
Charges well above the national norm
For every $1 of care Medicare actually paid for here, St Nicholas Hospital billed $4.88 in list charges. That gap does not change a Medicare patient's bill — but it is where an uninsured or out-of-network bill starts.
- Charge-to-payment
- 4.9x
- volume-weighted across all its priced work
- Procedures priced
- 21
- inpatient and outpatient combined
- Rank in WI
- #41
- lower markup ranks higher
- CMS quality stars
- 3/5
- shown for context, not in the grade
How this grade was reached
Each component is scored against every other U.S. hospital in the same federal files, so the grade is a position in the country, not a pass mark we invented.
Better than 62% of U.S. hospitals.
Better than 56% of U.S. hospitals.
Better than 54% of U.S. hospitals.
Better than 70% of U.S. hospitals.
What this hospital treats most
The ten procedures it billed Medicare for most often, with its charge beside the national middle.
| Procedure | Patients | Charged | Actually paid | vs national |
|---|---|---|---|---|
|
Level 1 Intraocular Procedures
APC 5491 · Hospital outpatient visit |
190 | $10,429 | $2,112 | -11% |
|
Comprehensive Observation Services
APC 8011 · Hospital outpatient visit |
99 | $18,165 | $2,472 | -7% |
|
Level 2 Excision/ Biopsy/ Incision and Drainage
APC 5072 · Hospital outpatient visit |
43 | $10,608 | $1,453 | +5% |
|
Sepsis (severe)
MS-DRG 871 · Inpatient stay |
41 | $48,081 | $15,325 | -26% |
|
Level 5 Urology and Related Services
APC 5375 · Hospital outpatient visit |
41 | $26,550 | $4,527 | -3% |
|
Level 1 Nerve Procedures
APC 5431 · Hospital outpatient visit |
39 | $10,710 | $1,722 | -6% |
|
Level 5 Musculoskeletal Procedures
APC 5115 · Hospital outpatient visit |
38 | $50,796 | $11,698 | -19% |
|
Level 2 Upper GI Procedures
APC 5302 · Hospital outpatient visit |
31 | $11,513 | $1,732 | about average |
|
Level 3 Vascular Procedures
APC 5183 · Hospital outpatient visit |
28 | $14,270 | $2,901 | -25% |
|
Level 4 Urology and Related Services
APC 5374 · Hospital outpatient visit |
26 | $16,841 | $3,076 | -18% |
Where its charges run furthest above the national middle
Only procedures it performed at least eleven times, so a single unusual case cannot produce the headline.
| Procedure | Charged | Actually paid | vs national |
|---|---|---|---|
|
Level 3 Urology and Related Services
APC 5373 · Hospital outpatient visit |
$18,682 | $1,854 | +45% |
|
Level 3 Excision/ Biopsy/ Incision and Drainage
APC 5073 · Hospital outpatient visit |
$22,470 | $2,587 | +27% |
|
Level 1 Laparoscopy and Related Services
APC 5361 · Hospital outpatient visit |
$40,943 | $5,017 | +17% |
|
Level 2 Excision/ Biopsy/ Incision and Drainage
APC 5072 · Hospital outpatient visit |
$10,608 | $1,453 | +5% |
|
Level 2 Upper GI Procedures
APC 5302 · Hospital outpatient visit |
$11,513 | $1,732 | about average |
|
Level 5 Urology and Related Services
APC 5375 · Hospital outpatient visit |
$26,550 | $4,527 | -3% |
|
Level 1 Nerve Procedures
APC 5431 · Hospital outpatient visit |
$10,710 | $1,722 | -6% |
|
Comprehensive Observation Services
APC 8011 · Hospital outpatient visit |
$18,165 | $2,472 | -7% |
Where it charges least relative to everyone else
| Procedure | Charged | Actually paid | vs national |
|---|---|---|---|
|
Sepsis (severe)
MS-DRG 871 · Inpatient stay |
$48,081 | $15,325 | -26% |
|
Level 3 Vascular Procedures
APC 5183 · Hospital outpatient visit |
$14,270 | $2,901 | -25% |
|
Level 2 Laparoscopy and Related Services
APC 5362 · Hospital outpatient visit |
$44,743 | $8,662 | -25% |
|
Pneumonia (severe)
MS-DRG 193 · Inpatient stay |
$35,314 | $9,941 | -24% |
|
Respiratory Infection (severe)
MS-DRG 177 · Inpatient stay |
$41,979 | $11,403 | -24% |
|
Level 2 Vascular Procedures
APC 5182 · Hospital outpatient visit |
$6,893 | $1,458 | -20% |
|
Respiratory Failure
MS-DRG 189 · Inpatient stay |
$39,152 | $8,863 | -19% |
|
Level 5 Musculoskeletal Procedures
APC 5115 · Hospital outpatient visit |
$50,796 | $11,698 | -19% |
What this page cannot tell you
- It is not your bill. These are averages across Medicare patients. What you pay depends on your insurance, your plan's negotiated rate and your own case.
- It is not a quality rating. A hospital with a high markup may be excellent, and one with a low markup may not be. We checked: across every U.S. hospital, markup and the CMS quality star rating barely move together.
- A charge is not a cost. Hospitals do not collect their list charges from insured patients. The number matters because it is the opening figure on an uninsured or out-of-network bill.
- Ask for the real number. Every U.S. hospital must publish a machine-readable price file and give you a written good-faith estimate on request.